Implant: extracted elsewhere, year in note
Prepare in Open Dental
Ready to approveReady: approve to put the notes and narrative into Open Dental, then send the claim as usual.
D6010 surgical placement of an endosteal implant body · tooth #14 · 04/05/2026
Ready to submitNarrative Every sentence checked against the chart
Tooth #14 is charted as missing. #14 was extracted in 2019 at another office. Panoramic radiograph taken 02/27/2026. Treatment: D6010 surgical placement of an endosteal implant body on tooth #14, date of service 04/05/2026.
Claim note
Implant #14: narrative and radiograph attached
Would strengthen the claim
- Document why an implant is indicated and which alternatives were discussed.
Attachments
| Item | Status | Detail |
|---|---|---|
| Radiograph | In Open Dental | Panoramic radiograph taken 02/27/2026. Source: Open Dental Imaging: "Pano" (X-Rays), DocNum 29201. |
Documentation checks
| Check | Status | Detail |
|---|---|---|
| Radiograph of tooth #14 within 12 months | Met | Panoramic radiograph taken 02/27/2026 (1.2 months before the date of service). |
| Tooth documented as missing | Met | Tooth #14 is charted as missing. |
| Date the tooth was lost or extracted | Met | #14 was extracted in 2019 at another office. |
| Reason an implant is indicated documented | Not documented | No note explains why an implant was chosen (e.g., to restore function, alternatives considered). |
Evidence used (4 facts)
| ID | Fact | Where it comes from |
|---|---|---|
| C1 | D6010 surgical placement of an endosteal implant body on tooth #14, date of service 04/05/2026. | Procedure D6010 (ProcNum 29001) |
| C2 | Panoramic radiograph taken 02/27/2026. | Open Dental Imaging: "Pano" (X-Rays), DocNum 29201 |
| C3 | Tooth #14 is charted as missing. | Chart: tooth #14 marked Missing |
| N1 | #14 was extracted in 2019 at another office."#14 was extracted in 2019 at another office" | Clinical note: D6010 #14 on 04/05/2026 (this procedure) |
Draft → check → revise loop (1 iteration)
Iteration 1: no issues
Clinical notes read (1, names redacted)
D6010 #14 on 04/05/2026 (this procedure)
#14 was extracted in 2019 at another office. Placed 4.5x10mm implant, good primary stability, healing abutment placed.